time that this paper was being developed and written. Charlotte Loppie reports a grant from the CIHR that funded research reported in a case study in this report. Laurence Moore reports having been a member of the UK MRC Population Health Strategy Group and the MRC/NIHR Methodology Research Programme Panel during the life of this project. He also reports core funding from the MRC and the Scottish Government CSO. David Ogilvie reports a grant from the NIHR Public Health Research programme and a grant from the MRC programme during the life of the project. Mark Petticrew reports a grant from the NIHR to develop a briefing paper. Valéry Ridde reports conducting consultancy work for non-governmental organisations implementing the user fees exemption intervention in West Africa. Daniel Wight reports grants from the UK MRC and the NIHR. Outside the submitted work, he reports core funding from the UK MRC to lead a theme of research on the transferability of interventions.
Existing measures embed highly problematic assumptions about what constitutes cultural competence. They ignore the power relations of social inequality and assume that individual knowledge and self-confidence are sufficient for change. Developing measures that assess cultural humility and/or assess actual practice are needed if educators in the health professions and health professionals are to move forward in efforts to understand, teach, practice, and evaluate cultural competence.
In this article, the author describes the process she undertook to incorporate Indigenous principles into her doctoral research about the midlife health experiences of elder Aboriginal women in Nova Scotia, Canada. By employing qualitative methods within the context of an Indigenous worldview, she gained knowledge of and developed competence in Aboriginal health research. The emergent partnership among Aboriginal community research facilitators, participating Mi'kmaq women, and the researcher provided many opportunities for the researcher to incorporate the paradigmatic and methodological traditions of Western science and Indigenous cultures. The application of these principles to this study might provide a useful example for other health researchers who are attempting to incorporate diverse methodological principles.
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